Tehrani, Kevin
Tehrani, Kevin is an sole proprietor health care provider with primary practice located at 560 Northern Blvd Great Neck, Great Neck NY 11021-5100. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Tehrani, Kevin can be contacted via phone (516) 498-9790.Contact Information
Primary practice address
560 Northern Blvd Great Neck
Great Neck NY 11021-5100
Phone: (516) 498-9790
Fax: (516) 498-9796
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 214939 | New York |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 214939 | New York |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 214939 | New York |
Profile Details
NPI number | 1346332301 |
---|---|
LBN Legal business name | Tehrani, Kevin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 28th, 2006 |
Last updated | Jun 26th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346332301 | NPPES |
New York | Other | 214939 | LISENCE NUMBER |
New York | Other | P2995192 | LISENCE NUMBER |
New York | Other | N84003 | LISENCE NUMBER |
New York | MEDICAID | 02463385 | LISENCE NUMBER |
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